Organization · Type 2 NPI
Jaesoo Pak, MD
Endoscopy Clinic/Center · Cerritos, CA
NPI number
1366633257
Active
Practice location
11845 South St
Cerritos, CA 90703-6825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | None listed |
| Endoscopy Clinic/Center Primary | 261QE0800X | 05-C0001451 (CA) |
Endoscopy Clinic/Center: Definition to come...
4 other providers at this address
- Cerritos Endoscopic Medical Center, Inc.Ambulatory Surgical Clinic/Center Cerritos, CA NPI 1033226600
- Maria T. Valmidiano-Wilson, CRNA, MSNCertified Registered Nurse Anesthetist Cerritos, CA NPI 1952483133
- Romina Ramos, CRNACertified Registered Nurse Anesthetist Cerritos, CA NPI 1700979549
- Teeda M. Martoccia, CRNACertified Registered Nurse Anesthetist Cerritos, CA NPI 1841397874
About NPI 1366633257
Jaesoo Pak, MD's National Provider Identifier is 1366633257, issued on Aug 6, 2007. The primary taxonomy on file is Endoscopy Clinic/Center (261QE0800X), and the practice location is in Cerritos, CA. The record was last updated on Jun 19, 2008.